CARDIOTHORACIC SURGERY, LLC – NPI #1104895812
Thoracic Surgery (Cardiothoracic Vascular Surgery)
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
CARDIOTHORACIC SURGERY, LLC is a thoracic surgeon located in CHESTERFIELD, MO. NPPES has assigned the NPI number 1104895812 to CARDIOTHORACIC SURGERY, LLC on March 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).
The NPI profile was last updated on Mar 05, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARDIOTHORACIC SURGERY, LLC below.
NPI Profile for
CARDIOTHORACIC SURGERY, LLC
(more than 20 years ago)
SUITE 550-N
CHESTERFIELD, MO 63017-3625 Phone: (314) 434-3049 Fax: (314) 205-6916
1 Other location(s):
Saint Louis, MO 63122-3325
Phone: (314) 434-3049
Fax: (314) 590-5939
CHESTERFIELD, MO 63017-3406 Phone: (314) 576-2490 Fax: (314) 576-2473
CHIEF MEDICAL OFFICER
Phone: (314) 205-6444
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for CARDIOTHORACIC SURGERY, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | RR MEDICARE | MO | DD6946 |
| medicaid | MO | 507279602 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.